Typhoid fever presenting as acute cerebellar ataxia and severe thrombocytopenia.
Typhoid fever being a systemic infection can present in a multitude of ways, involving various systems. Here we describe a case of typhoid fever presenting with acute cerebellar ataxia and marked thrombocytopenia. This atypical presentation is not common in typhoid fever and can lead to misdiagnosis as well as a delay in the initiation of appropriate therapy. Prompt clinical improvement and the return of platelet counts to normal were noted after the patient was started on IV Ceftriaxone.
Cheong
B M K
BM
Department of Medicine, Hospital Teluk Intan, Jalan Changkat Jong, 36000 Teluk Intan, Perak.
D000208:Acute Disease; D000328:Adult; D002524:Cerebellar Ataxia / Q000209:etiology*; D006801:Humans; D008297:Male; D013921:Thrombocytopenia / Q000209:etiology*; D014435:Typhoid Fever / Q000150:complications* / Q000175:diagnosis